| NPI | 1417386954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC 1526) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY PPC-789) |
| 101YP2500X Counselor, Professional (Licence: CO LPC .0013425) | |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2017-05-03 |